Herpes Zoster involving the Right Mandibular Branch of Trigeminal Nerve - A Case Report
Abstract
Herpes Zoster (HZ) is an acute, self-limiting, neuro cutaneous viral infection caused by the reactivation of the Varicella Zoster Virus (VZV) that remains latent in the dorsal root ganglion. About 50% of occurrence is seen in older age groups and immunocompromised patients. Less than 5% occur in children. HZ is characterized by the unilateral pain, burning and tingling sensation followed by the vesicular eruptions limited to the single dermatome that are innervated by the single cranial ganglion, sometimes it leads to Post Herpetic Neuralgia (PHN). Herpes zoster closely resembles to a condition called Visarpa which is described in Ayurveda. Visarpa is an acute skin condition with a quick spreading involving mainly Twak, Rakta, Lasika and Mamsa due to vitiation of all three Doshas which may remain for 10-12 days. We report a case of HZ, a 53-year-old female patient presented with vesicular lesion on her right side of face associated with mild itching, burning sensation and pain. Treated with Shodhana and Shaman therapies which showed significant improvement in the condition.
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References
Carbone V, Leonardi A, Pavese M, Raviola E, Giordano M. Herpes zoster of the trigeminal nerve: a case report and review of the literature. Minerva Stomatol. 2004;53(1-2):49–59.
Eastern JS. Herpes Zoster. eMedicine. 2006 Sep 18. Available from: [https://emedicine.medscape.com/article/1132465-overview].
Rasmussen SA, et al. Virology Discovery. 2014;2:1. DOI: 10.7243/2052-6202-21.
Tripathi B. Charak Samhita of Agnivesh, edited with Chraka-Chandrika Hindi commentary. Chikitasathan, ch.21, ver.11, vol II. Varanasi: Chaukhamba Surbharati Prakashan; 2015. p.707.
Tripathi B. Charak Samhita of Agnivesh, edited with Chraka-Chandrika Hindi commentary. Chikitasathan, ch.21, ver.15, vol II. Varanasi: Chaukhamba Surbharati Prakashan; 2015. p.707.
Yadavji Trikamji Acharya, editor. Sushruta Samhita of Sushruta with Nibandh Samgraha Commentary by Sri Dalhana Acharya. Nidansthana, ch.5, ver.21, 1st ed. Varanasi: Chaukhambha Publishing House Reprint; 2017. p.285.
Shastri HS, editor. Ashtanga Hridayam of Vagbhata with Commentaries Sarvangsundra of Arundatta and Ayurvedarasayana of Hemadri. Nidana Sthana, ch.13, ver.50-52, 1st ed. Varanasi: Chaukhambha Publishing House; 2017. p.522.
Tripathi B. Charak Samhita of Agnivesh, edited with Chraka-Chandrika Hindi commentary. Chikitasathan, ch.21, ver.141, vol II. Varanasi: Chaukhamba Surbharati Prakashan; 2015. p.732.
